Calcified thrombosed left ventricular aneurysm

Excerpt

Aneurysms are defined as areas of dyskinesis and are usually associated with severe wall thinning.“True aneurysms” arise from transmural infarcts and are usually found in the distal anterior wall or apex; they have a continuous wall of thinned, scarred myocardium.“False aneurysms” commonly arise from the inferior wall of the left ventricle secondary to myocardial rupture and are contained by the adjacent epicardial soft tissues and pericardium. Both can be complicated by thrombus formation, but calcification of left ventricular wall takes several years after myocardial infarction [1, 2]. Thrombi can also calcify along the subendocardial surface in chronic settings [1, 3, 4, 5]. Whereas“metastatic calcification” occurs when calcium is deposited in normal tissues as a result of abnormal calcium and phosphorus metabolism,“dystrophic calcification” occurs in abnormal or damaged tissue of any cause in patients with no abnormality of calcium or phosphate metabolism, as described in chronic scarred infarcted myocardium. …